Central Nursing Home - Chicago Nursing Home

General Information

UPDATE
Federal Provider Number
145648
Provider Name
CENTRAL NURSING HOME
Provider Address
2450 NORTH CENTRAL AVENUE
CHICAGO, IL 60639
Provider Phone Number
7738891333
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
245
Number of Residents in Certified Beds
230
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CENTRAL NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-08-04
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.85717
Reported LPN Staffing Hours per Resident per Day
0.23478
Reported RN Staffing Hours per Resident per Day
0.53087
Reported Licensed Staffing Hours per Resident per Day
0.76565
Reported Total Nurse Staffing Hours per Resident per Day
1.62282
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02478
Expected CNA Staffing Hours per Resident per Day
2.20275
Expected LPN Staffing Hours per Resident per Day
0.60146
Expected RN Staffing Hours per Resident per Day
1.16407
Expected Total Nurse Staffing Hours per Resident per Day
3.96828
Adjusted CNA Staffing Hours per Resident per Day
0.95482
Adjusted LPN Staffing Hours per Resident per Day
0.32399
Adjusted RN Staffing Hours per Resident per Day
0.34076
Adjusted Total Nurse Staffing Hours per Resident per Day
1.64843
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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